A patient is brought to the emergency department by paramedics. ...

[Coya19@aol.com]

A patient is brought to the emergency department by paramedics. The patient is a farmer who was exposed to large quantities of organophosphate insecticides. Which assessment finding would the nurse anticipate to see in this patient?
 
  a. Urinary retention
  b. Increased gastrointestinal motility
  c. Mydriasis
  d. Vasoconstriction

Question 2

A nurse is performing a physical assessment on a patient taking atropine (Sal-Tropine). In which of the following patients would atropine most likely be indicated?
 
  a. A patient who exhibits a pulse rate of 42/minute
  b. A patient who exhibits a dry mouth and urinary retention
  c. A patient who has had no bowel movement in 5 days
  d. A patient who has asthma

[macmac]

Answer to Question 1

ANS: B
Overstimulation of muscarinic receptors results in increased gastrointestinal motility.
Overstimulation of muscarinic receptors results in involuntary urination, not urinary retention.
Overstimulation of muscarinic receptors does not result in mydriasis.
Overstimulation of muscarinic receptors results in bronchoconstriction, not vasoconstriction.

Answer to Question 2

ANS: A
Atropine is indicated for bradycardia.
Atropine has anticholinergic properties and is used to dry secretions and may cause urinary retention; therefore, it would not be indicated in this patient.
Atropine would not be indicated for a patient who is constipated because of its drying effects.
Atropine is not indicated for asthma.

[Coya19@aol.com]

Thank you!

[macmac]

Always glad to help...